Comparative analysis of various surgical methods of urolithiasis treatment.

Introduction. Urolithiasis is one of the most common urological diseases with a trend towards stable growth in different countries. Thanks to active development minimally invasive surgery, lithotripsy has become possible any part pelvicalyceal system, practically replacing open surgery for urolithiasis. Aim: compare clinical efficacy and safety various methods surgical treatment Materials methods. The study included patients urolithiasis who underwent Department Urology State Budgetary Institution Regional Administration City Clinical Hospital No. 11 (Ryazan) period from January 2015 December 2020. Statistical data processing was performed using Microsoft Excel 2003 Statistica 10 software. Results. During this period, 4415 whith were treated hospital. total number operations 5655, including necessary repeated associated formation residual concretions after treatment. greatest required extracorporeal shock wave (ESWL) amounted 56.1% localization stones PCS 47.0% ureter. average complications form contact 13.3%, which significantly less than results ESWL. days spent hospital higher interventions 12 days, while remote 4 7 respectively. level postoperative pain on VAS scale (Visual Analog Scale) varied range points 6-9 persisted longer time comparison small non - interventions, where 1-4 points. Conclusion. obtained by us confirm effectiveness lithotripsy. main disadvantage ESWL Ho-YAG laser frequent concretions, however, such advantages as shorter recovery need use non-opioid analgesics early do not raise doubts about their reduction more traumatic interventions.